Classifying the physical activity and sedentary behaviour of persons with COPD before pulmonary rehabilitation: a cluster analysis

Geidl W, Carl J, Cassar S, Lehbert N, Wittmann M, Schultz K, Pfeifer K, Wagner R (2019)

Publication Type: Conference contribution

Publication year: 2019

Original Authors: Wolfgang Geidl, Johannes Carl, Samuel Cassar, Nicola Lehbert, Michael Wittmann, Rupert Wagner, Konrad Schultz, Klaus Pfeifer

Conference Proceedings Title: European Respiratory Journal

DOI: 10.1183/13993003.congress-2019.PA3411

Abstract

Background: Health-related movement behaviour is multi-layered including sedentary behaviour and physical activities (PA) in different intensities.


Objective: One aim of the STAR-study (Stay active after rehabilitation) was to identify objective patterns of PA and sitting in patients with COPD prior to rehabilitation (Geidl et al. Trials 2017; 18:396).


Methods: 355 persons wore a triaxial accelerometer (Actigraph wGT3X) for one week before the start of their rehabilitation. Sociodemographic and disease-related parameters were assessed at the start of rehabilitation. We applied cluster analysis and compared clusters using univariate variance analyses.


Results: Data were available for 326 persons (31.6% women; age ø = 58 yr.). Cluster analysis revealed four movement clusters with distinct PA and sedentary time patterns (Figure 1): Couch potatoes (28.5%), highly sedentary (41.7%), sedentary movers (19.6%), and sedentary exercisers (10.1%). The groups differ significantly in GOLD severity, FEV1, CAT, and 6-Min-Walk-Test.

Conclusion: People with COPD show very different levels of PA before rehabilitation. However, all clusters display a considerably long sitting time per day. In addition to PA promotion (Spruit et al. Am J Respir Crit Care Med 2013; 188:e13-e64) rehabilitation programs should consider the reduction of sitting time as a valuable goal.

Authors with CRIS profile

Wolfgang Geidl Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Johannes Carl Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Samuel Cassar Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Klaus Pfeifer Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit

Involved external institutions

Klinik Bad Reichenhall DE Germany (DE)

How to cite

APA:

Geidl, W., Carl, J., Cassar, S., Lehbert, N., Wittmann, M., Schultz, K.,... Wagner, R. (2019). Classifying the physical activity and sedentary behaviour of persons with COPD before pulmonary rehabilitation: a cluster analysis. In European Respiratory Journal.

MLA:

Geidl, Wolfgang, et al. "Classifying the physical activity and sedentary behaviour of persons with COPD before pulmonary rehabilitation: a cluster analysis." Proceedings of the ERS International Congress 2019.

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